Commonwealth General & Vascular Surgery, P.c.

NPI #1144279076 in Richmond, Virginia

Provider Information

NPI Number: 1144279076
Entity Type: Organization
Organization Name: Commonwealth General & Vascular Surgery, P.c.
Primary Specialty: Specialist
Enumeration Date: May 8, 2006
Last Updated: Aug 17, 2018

Practice Location

Address: 1401 JOHNSTON WILLIS DR
Address 2: SUITE 5100
City: Richmond
State: Virginia
ZIP Code: 23235-4730
Phone: (804) 330-5436

Authorized Official

Name: DR. JAMES R POLIQUIN, M.D.
Title: PHYSICIAN
Phone: (804) 330-5436

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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